For seafarers - Confidential advice & support :: The Mission to Seafarers

CONFIDENTAL CONTACT FORM

If you need confidential help, advice or assistance please use the form below. The form method ensures strict privacy. We cannot promise anything but we will do our best to help you.

Your contact information

Name(optional) :	Your Ship Name(required) :
Present Location :	Registry (Flag) :
Next Port :

Type of ship

Bulk Carrier	Container	Gen/cargo	Tanker
Passenger	Fishing	Reefer	RoRo
Vehicle Carrier	Offshore supply	Other

Nature of problem

Abandoned	Contract	Criminal/Discipline	Death
Discrimination	Immigration	Illness/injury	Living conditions
Pension	Repatriation	Ship safety	Stowaway
Termination	Wages	Working conditions	Other

Additional information:

Can we contact someone on your behalf?

Union organisation :	Yes	No
Port State Control :	Yes	No
Chaplain at next port :	Yes	No

How can we contact you confidentially?

By E-Mail? (If so enter address)

Or mailing address?

Or another contact method? (eg Telephone)

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© The Mission to Seafarers 2011 | Privacy policy | Terms and conditions | Registered charity no: 1123613 | The Mission to Seafarers is a Company Ltd by Guarantee, registered in England and Wales Number: 6220240 | Registered Address: St Michael Paternoster Royal, College Hill, London EC4R 2RL Tel: +44(0)20 7248 5202 Fax: +44 (0)20 7246 4761 The Mission to Seafarers Scotland is a Limited Company registered in Scotland Number 389483, Registered Charity in Scotland: SCO41938 Registered office: 109 Avalon Gardens, Linlithgow Bridge, Linlithgow, West Lothian, EH49 7PL

Your contact information

Type of ship

Nature of problem

Additional information:

Can we contact someone on your behalf?

How can we contact you confidentially?

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